The Professional Denture Center

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

60292621 Issued in WA

Legal business name

THE PROFESSIONAL DENTURE CENTER

Practice address

533 S Mission St
Wenatchee, WA 98801-3047

Phone

(509) 664-7308

Fax

(509) 664-4068

NPI assigned

Aug 17, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan M Dickson, DMD

Title

Dentist

Phone

(509) 664-7308

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Professional Denture Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Professional Denture Center

  • Dentist
  • Moses Lake, WA
  • NPI 1962916379
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1780139931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013047",
            "telephone_number": "509-664-7308",
            "fax_number": "509-664-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013047",
            "telephone_number": "509-664-7308",
            "fax_number": "509-664-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROFESSIONAL DENTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-664-7308",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "WA",
            "license": "60292621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059589",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennie K Tester, PT
• Sonyta Thai, APRN
• The Center for Alcohol and Drug Treatment
• The Chiropractic Solution
• The Healing Herd
• The Spinal Care Center of North Central Washington, Inc
• Kellie Korinne Theiler, RPH
• Lindsay Lapresto Thelin, M.D.
• Maria Teresa Thew
• Edmond E Thomas, CRNA

• Dental Laboratory in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Dental Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.